| NPI | 1720439177 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: RI MD17315) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: MA 279065) |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: RI MD17315) | |
| Enumeration Date | 2016-06-27 |
| Last Update Date | 2022-02-18 |