| NPI | 1699139535 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: MA 294013) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 294013) |
| 207R00000X Internal Medicine (Licence: WA MD60878080) | |
| Enumeration Date | 2016-04-06 |
| Last Update Date | 2023-06-29 |