| 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 | 2026-07-13 |