| NPI | 1871558817 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: NC 2014-00858) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35-077498) |
| 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: OH 35-077498) | |
| 207R00000X Internal Medicine (Licence: NC 2014-00858) | |
| Enumeration Date | 2006-04-20 |
| Last Update Date | 2016-06-20 |