| NPI | 1528435724 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: GA 86614) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 86614) |
| 207R00000X Internal Medicine (Licence: NV 16418) | |
| Enumeration Date | 2015-08-24 |
| Last Update Date | 2024-03-22 |