| NPI | 1174613004 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: PA MD475124) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: CT 031258) |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: NC 2008-01102) | |
| 207R00000X Internal Medicine (Licence: VA 0101272400) | |
| 207R00000X Internal Medicine (Licence: SC 35383) | |
| 207R00000X Internal Medicine (Licence: PA MD475124) | |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2024-10-03 |