| NPI | 1134476500 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: OH 35.146972) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: PA MD459705) |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: OK 31185) | |
| Enumeration Date | 2012-08-05 |
| Last Update Date | 2023-08-08 |