NPI | 1528591484 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: NC 2022-00937) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35.138004) |
Enumeration Date | 2017-04-07 |
Last Update Date | 2024-01-26 |