| NPI | 1942706536 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: FL ME162212) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AL L.4754R) |
| Enumeration Date | 2018-04-03 |
| Last Update Date | 2023-10-31 |