| NPI | 1801381744 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: SD 13979) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4351048453) |
| 207R00000X Internal Medicine (Licence: SD 13979) | |
| Enumeration Date | 2018-06-23 |
| Last Update Date | 2023-10-16 |