| NPI | 1780110601 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: OH 35.136385) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: KY 56601) |
| Enumeration Date | 2017-05-11 |
| Last Update Date | 2025-06-03 |