NPI | 1811423957 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: OH 35.150125) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101265381) |
Enumeration Date | 2017-05-10 |
Last Update Date | 2024-07-28 |