| NPI | 1184111841 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: PA MD471441) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: NC 2024-00029) |
| Enumeration Date | 2018-04-18 |
| Last Update Date | 2024-03-12 |