| NPI | 1578504759 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OH 35100131R) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: OH 35100131r) |
| Enumeration Date | 2006-06-09 |
| Last Update Date | 2007-07-08 |