| NPI | 1639381627 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 2006-01749) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: KY 53732) |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: NC 2006-01749) | |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2023-07-22 |