| NPI | 1689031767 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: MI 4301108923) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: MN 67243) |
| Enumeration Date | 2016-01-21 |
| Last Update Date | 2024-06-04 |