| NPI | 1831645704 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: IA MD-49048) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: RI LP03790) |
| Enumeration Date | 2016-08-30 |
| Last Update Date | 2022-08-31 |