| NPI | 1942565403 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: NC 2020-00720) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: WV 30918) |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: VA 0101269105) | |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: NM TM2022-0111) | |
| Enumeration Date | 2012-07-11 |
| Last Update Date | 2025-02-12 |