| NPI | 1558857904 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: NM MD2023-0193) |
| Additional Taxonomies | 174400000X Specialist (Licence: NM MD2023-0193) |
| Enumeration Date | 2018-07-09 |
| Last Update Date | 2023-07-27 |