| NPI | 1063450369 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WA MD61462276) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: MA 70385) |
| Enumeration Date | 2006-06-02 |
| Last Update Date | 2023-12-07 |