| NPI | 1164695557 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: CA A112689) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IN 11014017A) |
| 207R00000X Internal Medicine (Licence: CA A112689) | |
| Enumeration Date | 2008-04-08 |
| Last Update Date | 2023-11-27 |