| NPI | 1386265593 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: TX V3438) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: TX bp1007077) |
| Enumeration Date | 2020-04-28 |
| Last Update Date | 2026-03-23 |