| NPI | 1578884698 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: CT 65372) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: MA 262539) |
| Enumeration Date | 2010-06-14 |
| Last Update Date | 2025-11-03 |