| NPI | 1568555001 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: ID M-17583) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OR DO19768) |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2023-12-19 |