NPI | 1902469026 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: OH 35.151287) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 57.248229) |
Enumeration Date | 2019-04-15 |
Last Update Date | 2024-07-19 |