| NPI | 1518151562 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WA OP61536228) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: SD 7992) |
| Enumeration Date | 2007-09-04 |
| Last Update Date | 2026-01-06 |