| NPI | 1336115450 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: KY 57899) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35-068920) |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: OH 35-068920) | |
| Enumeration Date | 2006-02-28 |
| Last Update Date | 2023-08-29 |