| NPI | 1235450453 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: NC 2015-00708) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 4209) |
| Enumeration Date | 2010-06-22 |
| Last Update Date | 2024-02-12 |