| NPI | 1518314376 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: MO 2020011603) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 336.131966) |
| Enumeration Date | 2016-05-20 |
| Last Update Date | 2026-04-24 |