| NPI | 1629335856 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: GA 76700) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: ME MD28808) |
| Enumeration Date | 2012-04-12 |
| Last Update Date | 2025-01-22 |