| NPI | 1639381627 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine Infectious Disease (Licence: NC 2006-01749) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 2006-01749) |
| 207RI0200X Internal Medicine Infectious Disease (Licence: KY 53732) | |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2025-05-12 |