| NPI | 1194250183 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: SC 51267) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: SC 51267) |
| Enumeration Date | 2017-04-27 |
| Last Update Date | 2023-08-29 |