| NPI | 1245437953 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: MI 4301090786) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD432053) |
| Enumeration Date | 2007-06-27 |
| Last Update Date | 2022-07-21 |