| NPI | 1073874939 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: OH 35.131029) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 57.020802) |
| Enumeration Date | 2012-06-06 |
| Last Update Date | 2023-05-30 |