| NPI | 1508127069 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: VA 0102209904) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: PA OS019229) |
| Enumeration Date | 2012-05-31 |
| Last Update Date | 2026-05-22 |