| NPI | 1700033313 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: OH 35.090885) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IA 37803) |
| 207R00000X Internal Medicine (Licence: KY 44955) | |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: KY 44955) | |
| Enumeration Date | 2008-08-26 |
| Last Update Date | 2020-11-24 |