NPI | 1477631869 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: OH 35043533) |
Additional Taxonomies | 208000000X Pediatrics (Licence: OH 35043533) |
207RG0300X Internal Medicine, Geriatric Medicine (Licence: OH 35-043533) | |
Enumeration Date | 2006-11-01 |
Last Update Date | 2018-05-15 |