| NPI | 1417449992 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: OR DO199916) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: WA OP61447539) |
| Enumeration Date | 2018-05-31 |
| Last Update Date | 2023-08-02 |