| NPI | 1447573191 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: AZ 44698) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: NM RS2020-0453) |
| Enumeration Date | 2010-03-09 |
| Last Update Date | 2026-07-28 |