| NPI | 1912435397 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: TX T7290) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: SC LL41096) |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: SC 41096) | |
| Enumeration Date | 2017-05-30 |
| Last Update Date | 2026-06-01 |