| NPI | 1073578951 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: OH 35-076757) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35-076757) |
| 208000000X Pediatrics (Licence: OH 35-076757) | |
| Enumeration Date | 2006-04-20 |
| Last Update Date | 2014-03-27 |