| NPI | 1881985695 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: NC 2021-00766) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: IL 036-155882) |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: PA MD458715) | |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: NM TM2022-0113) | |
| Enumeration Date | 2011-04-27 |
| Last Update Date | 2024-03-14 |