| NPI | 1801277447 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: CA A152335) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35.134338) |
| Enumeration Date | 2015-06-09 |
| Last Update Date | 2024-07-11 |