| NPI | 1881157204 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: WA MD61553384) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA MD61553384) |
| Enumeration Date | 2019-04-11 |
| Last Update Date | 2024-06-28 |