| 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 |