| NPI | 1255597324 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: OH 35.140354) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35.140354) |
| 207R00000X Internal Medicine (Licence: TX R2327) | |
| Enumeration Date | 2008-07-29 |
| Last Update Date | 2020-12-12 |