| NPI | 1740544923 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: AZ 011591)  | 
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: VA 0102203852)  | 
| 207RI0200X Internal Medicine, Infectious Disease (Licence: FL OS15017)  | |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: NJ 25MB10490600)  | |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: WA OP70020997)  | |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: TN 2828)  | |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: PA OS017570)  | |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: NC 01919)  | |
| Enumeration Date | 2012-07-02 | 
| Last Update Date | 2025-10-07 |