NPI | 1447498829 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: WA 60630632) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35.120263) |
Enumeration Date | 2009-01-23 |
Last Update Date | 2019-11-06 |