| NPI | 1508362286 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: MA 291142) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: CT 1.069888-DO) |
| Enumeration Date | 2018-04-02 |
| Last Update Date | 2024-06-06 |