| NPI | 1841600418 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: CT 73516) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A161963) |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: CA A161963) | |
| Enumeration Date | 2014-05-05 |
| Last Update Date | 2023-07-05 |