| NPI | 1659936987 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: NC 2024-01061) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: SC LL82155) |
| Enumeration Date | 2019-05-02 |
| Last Update Date | 2024-07-18 |