| NPI | 1528411774 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: WA MD61417522) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA MD61417522) |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: IA MD-45957) | |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: WI 74676) | |
| Enumeration Date | 2016-07-22 |
| Last Update Date | 2024-03-28 |