| NPI | 1093009698 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: WY 8686A) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WY 8686A) |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: NC 2024-02621) | |
| Enumeration Date | 2011-06-01 |
| Last Update Date | 2024-11-04 |