| NPI | 1033797675 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: NC 2025-00083) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WV 34099) |
| Enumeration Date | 2021-04-01 |
| Last Update Date | 2025-06-27 |