| NPI | 1447202825 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OH 35.047750) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KY 54532) |
| 207R00000X Internal Medicine (Licence: OH 35-047750) | |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2023-04-20 |