| NPI | 1205056041 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: VA 0101286123) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 2007-00929) |
| Enumeration Date | 2007-04-26 |
| Last Update Date | 2025-07-08 |