| NPI | 1720487879 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: DC MD044366) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: MD D0069383) |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: AZ 53682) | |
| Enumeration Date | 2014-08-14 |
| Last Update Date | 2025-06-11 |