| NPI | 1871729517 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: OK 30335) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: AZ 44262) |
| Enumeration Date | 2009-06-09 |
| Last Update Date | 2025-01-16 |