| NPI | 1558369934 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: KY 39552) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: KY TP802) |
| Enumeration Date | 2005-07-11 |
| Last Update Date | 2023-01-24 |