| NPI | 1891059929 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: TN NA) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NE 6848) |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: KY 48013) | |
| Enumeration Date | 2012-07-03 |
| Last Update Date | 2024-06-09 |