| NPI | 1598493074 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: FL ME170130) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: NC RTL22-0451) |
| Enumeration Date | 2022-08-11 |
| Last Update Date | 2025-06-23 |