| NPI | 1487343554 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A208798) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: CA A208798) |
| Enumeration Date | 2023-05-04 |
| Last Update Date | 2026-08-07 |