| NPI | 1427437482 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: IN 01086090A) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA MD.MD.60965323) |
| Enumeration Date | 2015-05-23 |
| Last Update Date | 2025-10-03 |