| NPI | 1427519743 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: AZ 73172) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CT 71818) |
| Enumeration Date | 2019-03-28 |
| Last Update Date | 2026-05-15 |