NPI | 1235226507 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: OH 35087667) |
Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: NC 9900092) |
Enumeration Date | 2006-10-06 |
Last Update Date | 2025-01-22 |