| NPI | 1053817205 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine Infectious Disease (Licence: PA OT018441) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA OT018441) |
| 207R00000X Internal Medicine (Licence: PA OS021735) | |
| Enumeration Date | 2018-04-04 |
| Last Update Date | 2024-06-22 |