| NPI | 1558507871 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: AL 33212) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: MA 266727) |
| Enumeration Date | 2008-12-17 |
| Last Update Date | 2024-02-01 |