| NPI | 1861480915 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: LA 022209) |
| Additional Taxonomies | 174400000X Specialist (Licence: LA L022209) |
| 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: LA 022209) | |
| Enumeration Date | 2005-10-12 |
| Last Update Date | 2023-08-15 |