| NPI | 1609201334 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: FL ME134756) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: SD 18405) |
| 207R00000X Internal Medicine (Licence: GA 90708) | |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: WA MD70101001) | |
| Enumeration Date | 2013-09-12 |
| Last Update Date | 2026-04-16 |