| NPI | 1053750190 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: UT 9774061-1204) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125063255) |
| Enumeration Date | 2013-06-21 |
| Last Update Date | 2023-05-02 |