| NPI | 1932513751 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: OH 34.017054) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NE 2616) |
| Enumeration Date | 2014-06-19 |
| Last Update Date | 2024-07-19 |