NPI | 1710360946 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: OH 35.133278) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301107063) |
Enumeration Date | 2015-07-07 |
Last Update Date | 2018-06-19 |