| NPI | 1003825944 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: SC 34200) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: MT 150891) |
| Enumeration Date | 2006-08-07 |
| Last Update Date | 2025-02-18 |