| NPI | 1861482069 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: PA MD454708) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: OH 088082) |
| Enumeration Date | 2005-10-27 |
| Last Update Date | 2020-08-31 |