| NPI | 1770785859 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: CA A136655) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A136655) |
| 207R00000X Internal Medicine (Licence: VA 0101246517) | |
| Enumeration Date | 2007-06-01 |
| Last Update Date | 2025-08-14 |