| NPI | 1588865307 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: PA MD465903) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301087584) |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: IA 39463) | |
| Enumeration Date | 2007-05-30 |
| Last Update Date | 2021-07-28 |