| NPI | 1518290923 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RI0200X Internal Medicine Infectious Disease (Licence: MT MED-PHYS-LIC-101045) |
| Additional Taxonomies | 207RI0200X Internal Medicine Infectious Disease (Licence: MD D0035854) |
| Enumeration Date | 2009-09-16 |
| Last Update Date | 2025-04-10 |