| NPI | 1508979642 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA MD433222) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: WV 11221) |
| Enumeration Date | 2006-08-15 |
| Last Update Date | 2025-07-02 |