NPI | 1902875123 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: OH 35053795H) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35053795) |
Enumeration Date | 2006-03-17 |
Last Update Date | 2025-07-24 |