| NPI | 1134393796 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: GA 070952) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: ID 1371043) |
| Enumeration Date | 2008-04-15 |
| Last Update Date | 2025-01-30 |