NPI | 1598926529 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: OH 35120109) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: SC 30889) |
Enumeration Date | 2008-06-23 |
Last Update Date | 2012-10-18 |