| NPI | 1346215621 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: MD D73158) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: WV 21029) |
| 207R00000X Internal Medicine (Licence: MD D73158) | |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: PA MD435146) | |
| Enumeration Date | 2006-02-21 |
| Last Update Date | 2023-03-07 |