NPI | 1699938779 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: NV 26391) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35120442) |
Enumeration Date | 2008-07-08 |
Last Update Date | 2025-03-05 |