| NPI | 1114269594 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: NC 2021-02368) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WV 31056) |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: NY 283972) | |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: VA 0101270860) | |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: PA MD471206) | |
| Enumeration Date | 2013-03-22 |
| Last Update Date | 2024-07-12 |