| NPI | 1760896427 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: GA 95093) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 2017-00797) |
| Enumeration Date | 2014-06-19 |
| Last Update Date | 2023-05-26 |