| NPI | 1275988180 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: NM MD2021-1104) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL TRN22903) |
| 207R00000X Internal Medicine (Licence: NM 2021-1104) | |
| 207R00000X Internal Medicine (Licence: NM MD2021-1104) | |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: NM 2021-1104) | |
| Enumeration Date | 2016-04-28 |
| Last Update Date | 2022-07-06 |