| NPI | 1548604341 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: SC 83522) | 
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 2019-00825) | 
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: SC 83522) | |
| Enumeration Date | 2013-04-23 | 
| Last Update Date | 2021-09-14 |