| NPI | 1750811659 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: CA A162262) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: UT 11802786-1205) |
| Enumeration Date | 2017-06-14 |
| Last Update Date | 2025-07-18 |