| NPI | 1831576255 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: NC 2020-00376) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 2020-00376) |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: VA 0116032149) | |
| Enumeration Date | 2015-05-06 |
| Last Update Date | 2023-11-09 |