| NPI | 1497751853 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA MD426399) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: MD D69527) |
| Enumeration Date | 2005-06-21 |
| Last Update Date | 2023-03-07 |