| NPI | 1083690325 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: NC 9600341) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: SC MD20293) |
| 207R00000X Internal Medicine (Licence: NC 9600341) | |
| Enumeration Date | 2005-12-19 |
| Last Update Date | 2023-04-14 |