| NPI | 1558507962 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: OK 29704) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: AZ 41939) |
| Enumeration Date | 2009-01-07 |
| Last Update Date | 2025-01-16 |