| NPI | 1548466022 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: OH 35124239) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35124239) |
| 2080P0208X Pediatrics, Pediatric Infectious Diseases (Licence: OH 35124239) | |
| Enumeration Date | 2007-06-22 |
| Last Update Date | 2025-04-28 |