| NPI | 1710946124 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: FL ME75220) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME75220) |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: TX V4425) | |
| Enumeration Date | 2006-03-23 |
| Last Update Date | 2025-05-05 |