| NPI | 1578698791 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: PA MD464017) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: MA 235822) |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2022-01-28 |