NPI | 1902433048 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: OH 35.146871) |
Additional Taxonomies | 208000000X Pediatrics (Licence: OH 35.146871) |
Enumeration Date | 2020-03-26 |
Last Update Date | 2024-07-15 |