| NPI | 1669403341 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MD D82137) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: OH 35083321) |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2022-02-04 |