| NPI | 1598995045 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 272432) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: RI MD14497) |
| 207R00000X Internal Medicine (Licence: RI 14497) | |
| Enumeration Date | 2009-07-17 |
| Last Update Date | 2026-03-24 |