| NPI | 1710959770 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: PA MD417735) |
| Additional Taxonomies | 174400000X Specialist (Licence: PA MD417735) |
| Enumeration Date | 2006-02-03 |
| Last Update Date | 2025-02-15 |