| NPI | 1730706185 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: ID 9471557) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: NE 36311) |
| Enumeration Date | 2020-07-01 |
| Last Update Date | 2025-04-23 |