| NPI | 1669081378 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: MO 2024041913) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2024041913) |
| Enumeration Date | 2020-07-28 |
| Last Update Date | 2025-05-29 |