| NPI | 1861982803 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OH 34.015249) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: OH 34.015249) |
| Enumeration Date | 2018-05-15 |
| Last Update Date | 2021-07-07 |