| NPI | 1770233983 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: RI CLP06498) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: RI CLP06498) |
| 207R00000X Internal Medicine (Licence: IL 036.172623) | |
| Enumeration Date | 2022-03-29 |
| Last Update Date | 2025-07-01 |