| NPI | 1770579757 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: WI 64537-20) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: CA G81819) |
| Enumeration Date | 2005-09-23 |
| Last Update Date | 2025-11-04 |