| NPI | 1477170694 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: AL 50971) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 284905) |
| Enumeration Date | 2020-07-03 |
| Last Update Date | 2025-09-19 |