| NPI | 1437352572 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AZ 37183) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35089457) |
| Enumeration Date | 2007-06-07 |
| Last Update Date | 2008-01-31 |