| NPI | 1538377890 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: OH 35.094131) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 57.011606) |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: OH 35094131) | |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2022-04-04 |