| NPI | 1437635067 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: OH 35.148580) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: GA 92382) |
| Enumeration Date | 2018-07-17 |
| Last Update Date | 2023-06-12 |