| NPI | 1457514937 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: OH 34010221) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OH 010221) |
| 207R00000X Internal Medicine (Licence: PA OS015559) | |
| Enumeration Date | 2008-07-06 |
| Last Update Date | 2021-04-21 |