| NPI | 1912467531 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA MD483677) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: OH 35.150343) |
| Enumeration Date | 2019-03-20 |
| Last Update Date | 2024-08-09 |