| NPI | 1003221524 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: NV 23424) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: MA 270573) |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: AR E-12096) | |
| Enumeration Date | 2014-06-23 |
| Last Update Date | 2023-08-30 |