| NPI | 1164678777 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine Infectious Disease (Licence: OH 35-096037) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35.096037) |
| Enumeration Date | 2008-08-14 |
| Last Update Date | 2017-08-10 |