| NPI | 1417933094 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: OH 35-07-3497) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: OH 35.073497) |
| Enumeration Date | 2005-12-15 |
| Last Update Date | 2022-01-05 |