| NPI | 1447611124 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX V1444) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA OS018851) |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: MI 5151014146) | |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: PA OS018851) | |
| Enumeration Date | 2016-03-09 |
| Last Update Date | 2024-06-05 |