NPI | 1437592383 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: OR DO190594) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 34012220) |
Enumeration Date | 2013-04-10 |
Last Update Date | 2025-04-01 |