| NPI | 1699218842 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 2020-04427) |
| Additional Taxonomies | 207RI0200X Internal Medicine Infectious Disease (Licence: NC 2020-04427) |
| Enumeration Date | 2016-11-21 |
| Last Update Date | 2021-10-04 |