| NPI | 1881018190 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: KY 57743) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 57.024204) |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: NE 29016) | |
| Enumeration Date | 2014-02-06 |
| Last Update Date | 2023-07-13 |