| NPI | 1811103989 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MO 2024003247) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: ND 11549) |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2025-01-10 |