| NPI | 1669442695 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OH 35.079655) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OH 35-07-9655-E) |
| 207R00000X Internal Medicine (Licence: MI 4301077509) | |
| Enumeration Date | 2006-01-24 |
| Last Update Date | 2023-10-26 |