| NPI | 1811189632 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: OR MD167734) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX M7541) |
| Enumeration Date | 2007-08-15 |
| Last Update Date | 2021-03-24 |