| NPI | 1801246491 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: RI MD17913) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: RI LP03709) |
| Enumeration Date | 2016-06-15 |
| Last Update Date | 2021-07-28 |