| NPI | 1407294689 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: OH 35.139218) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 255857) |
| 207R00000X Internal Medicine (Licence: OH 35.139218) | |
| Enumeration Date | 2013-06-10 |
| Last Update Date | 2020-12-16 |