| NPI | 1275989170 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 267648) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: MA 278940) |
| Enumeration Date | 2016-05-10 |
| Last Update Date | 2024-06-08 |