| NPI | 1437309713 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OH 096150) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD437632) |
| Enumeration Date | 2008-09-24 |
| Last Update Date | 2010-11-17 |