| NPI | 1356872279 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: PA MD491778) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: CA A207847) |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: LA 353534) | |
| Enumeration Date | 2017-03-22 |
| Last Update Date | 2026-07-30 |