| NPI | 1740834688 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: MO 2025036579) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2025036579) |
| Enumeration Date | 2019-07-29 |
| Last Update Date | 2025-09-03 |