| NPI | 1194045872 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: OR MD182171) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 244506) |
| 207R00000X Internal Medicine (Licence: OR MD182171) | |
| Enumeration Date | 2010-06-04 |
| Last Update Date | 2022-07-21 |