| NPI | 1508488321 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: MI 4301511060) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301511060) |
| 207R00000X Internal Medicine (Licence: IL 125075682) | |
| Enumeration Date | 2020-05-14 |
| Last Update Date | 2026-07-14 |