| NPI | 1407274491 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: FL 163821) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: KY 53284) |
| Enumeration Date | 2014-04-07 |
| Last Update Date | 2024-12-19 |