| NPI | 1588869861 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: OH 35.095748) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35095748) |
| 207R00000X Internal Medicine (Licence: AZ 81480) | |
| Enumeration Date | 2007-06-18 |
| Last Update Date | 2023-10-03 |