| NPI | 1326779067 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: MN 79198) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 294132) |
| Enumeration Date | 2022-06-22 |
| Last Update Date | 2025-05-13 |