| NPI | 1275597031 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: NM MD2022-0191) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ 35377) |
| Enumeration Date | 2006-04-17 |
| Last Update Date | 2024-09-25 |