| NPI | 1700415940 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: NV 27513) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: UT 12420136-1205) |
| Enumeration Date | 2020-04-08 |
| Last Update Date | 2025-08-12 |