| NPI | 1831379544 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: SC 32801) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: NC 2021-01602) |
| 207R00000X Internal Medicine (Licence: NC 2021-01602) | |
| Enumeration Date | 2007-11-09 |
| Last Update Date | 2026-04-29 |