| NPI | 1275964371 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: CA C186474) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA C186474) |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: NM MD2018-0132) | |
| Enumeration Date | 2013-11-28 |
| Last Update Date | 2024-04-29 |