| NPI | 1164848602 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: GA 96098) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: ID 3271759) |
| Enumeration Date | 2014-03-07 |
| Last Update Date | 2025-06-13 |