| NPI | 1912162819 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: PA MD454926) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: WV 31189) |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: VA 0101270716) | |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: NC 2021-02305) | |
| Enumeration Date | 2008-07-21 |
| Last Update Date | 2025-10-17 |