NPI | 1821354267 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: OH 35.135804) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: DC MD043655) |
Enumeration Date | 2012-04-10 |
Last Update Date | 2019-11-20 |