| NPI | 1699973503 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 282N00000X General Acute Care Hospital |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: HI MD-15131) |
| Enumeration Date | 2007-07-03 |
| Last Update Date | 2025-10-30 |