| NPI | 1487051157 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: GA 89767) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 89767) |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: GA 89767) | |
| Enumeration Date | 2014-11-25 |
| Last Update Date | 2021-09-05 |