| NPI | 1669448171 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: OH 35-067595) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35-067595) |
| Enumeration Date | 2006-02-24 |
| Last Update Date | 2013-04-10 |