| NPI | 1619329406 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RI0200X Internal Medicine Infectious Disease (Licence: MI 4301510879) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301110158) |
| Enumeration Date | 2016-07-06 |
| Last Update Date | 2024-08-06 |