| NPI | 1285913624 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: NC 2024-03690) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: MS 23326) |
| Enumeration Date | 2011-08-16 |
| Last Update Date | 2025-01-16 |