| NPI | 1245523174 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: MI 4301098556) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301098556) |
| Enumeration Date | 2011-05-25 |
| Last Update Date | 2023-06-06 |