| NPI | 1235233651 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: TX H5084) | 
| Additional Taxonomies | 174400000X Specialist (Licence: TX H5084) | 
| Enumeration Date | 2006-09-08 | 
| Last Update Date | 2024-05-22 |