| NPI | 1740436609 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: WA MD60232633) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA ML60019762) |
| 207R00000X Internal Medicine (Licence: WA MD60232633) | |
| Enumeration Date | 2008-08-12 |
| Last Update Date | 2021-10-19 |