| NPI | 1295608073 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: MD D0045638) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: VA 0101265545) |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: NC 52002) | |
| Enumeration Date | 2025-09-26 |
| Last Update Date | 2025-09-26 |