| NPI | 1730114943 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: NC 2010-01390) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: OH 35086165) |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: WI 81513-20) | |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2024-03-15 |