| NPI | 1689016792 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 255904) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: NH 19315) |
| Enumeration Date | 2013-07-18 |
| Last Update Date | 2019-09-06 |