| NPI | 1134563828 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: TN 70575) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: MD D84711) |
| Enumeration Date | 2013-04-24 |
| Last Update Date | 2024-05-19 |