| NPI | 1144755190 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: OH 35145339) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AL 41043) |
| Enumeration Date | 2017-04-27 |
| Last Update Date | 2022-07-25 |