| NPI | 1356517734 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: MI 4301099996) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 00000000) |
| Enumeration Date | 2008-05-05 |
| Last Update Date | 2025-10-10 |