| NPI | 1902994320 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: FL ME124653) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036-116647) |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: IL 036116647) | |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2023-01-10 |