| NPI | 1942681457 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: PA MD485547) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 273074) |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: MA 273074) | |
| Enumeration Date | 2015-06-11 |
| Last Update Date | 2024-08-28 |