| NPI | 1316393671 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: CA A162050) | 
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A162050) | 
| Enumeration Date | 2016-05-05 | 
| Last Update Date | 2024-04-28 |