| NPI | 1619952991 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: NH EL34101) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 9600659) |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: NC 9600659) | |
| Enumeration Date | 2005-12-09 |
| Last Update Date | 2026-07-30 |