| NPI | 1255497640 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: GA 92881) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: NE 24892) |
| Enumeration Date | 2006-12-29 |
| Last Update Date | 2026-02-19 |