| NPI | 1386845022 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: PA MD433626) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: OH 57.007172) |
| Enumeration Date | 2007-05-30 |
| Last Update Date | 2015-05-08 |