| NPI | 1942669817 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: OH 35.142821) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301500312) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MI 4301500312) | |
| Enumeration Date | 2016-02-19 |
| Last Update Date | 2023-12-13 |