| NPI | 1619255213 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: PA MD-452668) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: KY 54473) |
| Enumeration Date | 2011-07-30 |
| Last Update Date | 2024-08-15 |