NPI | 1669932786 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: OH 35.144709) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4351044589) |
Enumeration Date | 2019-03-24 |
Last Update Date | 2023-04-28 |