| NPI | 1558392704 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: CA C152622) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 244581) |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: MA 244581) | |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2026-03-24 |