| NPI | 1790980399 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MD D71208) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA L-231962) |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: MD D71208) | |
| Enumeration Date | 2007-06-15 |
| Last Update Date | 2022-10-06 |