| NPI | 1831155787 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: TX M1510) |
| Additional Taxonomies | 174400000X Specialist (Licence: TX M1510) |
| Enumeration Date | 2006-04-20 |
| Last Update Date | 2023-10-12 |