| NPI | 1861874786 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MD D91992) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: MD D91992) |
| Enumeration Date | 2015-06-27 |
| Last Update Date | 2021-08-26 |