| NPI | 1518251446 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: KY 44353) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OK 31785) |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: NE 31844) | |
| Enumeration Date | 2011-06-08 |
| Last Update Date | 2022-07-18 |