| NPI | 1174969794 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0101260708) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: VA 0101260708) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: VA 0101260708) | |
| Enumeration Date | 2013-05-22 |
| Last Update Date | 2026-06-30 |