| NPI | 1467441873 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: OH 35053064) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301511126) |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: MI 4301511126) | |
| Enumeration Date | 2005-10-18 |
| Last Update Date | 2024-06-18 |