| NPI | 1891291571 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: WA MD.61689841) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: UT 12220320-1205) |
| Enumeration Date | 2018-04-02 |
| Last Update Date | 2025-09-22 |