| NPI | 1881027365 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: NY 299441) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WV ED0386A) |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: OH 58.007374) | |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: OH 34013451) | |
| Enumeration Date | 2013-08-20 |
| Last Update Date | 2023-05-07 |