| NPI | 1841794591 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: ME MD30313) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: NY 309387) |
| Enumeration Date | 2018-03-19 |
| Last Update Date | 2026-05-06 |