| NPI | 1215169735 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: MA 250308) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 250308) |
| Enumeration Date | 2009-08-17 |
| Last Update Date | 2025-04-30 |