| NPI | 1700995339 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: MO 208810309) |
| Additional Taxonomies | 174400000X Specialist (Licence: MO 103905) |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: IL 036176531) | |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2025-10-21 |