| NPI | 1710243282 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: MN 80344) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: OH 35.135558) |
| Enumeration Date | 2012-04-09 |
| Last Update Date | 2025-10-07 |