| NPI | 1043263346 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: KY 42999) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35087541) |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: KY 42999) | |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2023-11-09 |