| NPI | 1427589373 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: OR DO221276) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: WA OP61561335) |
| Enumeration Date | 2017-03-22 |
| Last Update Date | 2024-08-03 |