| NPI | 1902966690 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OH 35.074531) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: OH 35-07-4531-P) |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2023-10-16 |