| NPI | 1083349823 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: WI 85668-20) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NE 9388) |
| Enumeration Date | 2022-07-17 |
| Last Update Date | 2025-06-02 |