NPI | 1851194450 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: OH 57.258427) |
Additional Taxonomies | 208000000X Pediatrics (Licence: OH 57.258427) |
Enumeration Date | 2025-03-29 |
Last Update Date | 2025-06-24 |