| NPI | 1396448577 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: CA A207908) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125.082925) |
| Enumeration Date | 2023-03-24 |
| Last Update Date | 2026-06-19 |