| NPI | 1942794300 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: PA MD480758) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: VT 042.0017074) |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: WV 32749) | |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: OH 35.148023) | |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: NM MD2023-0619) | |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: AL MD.46350) | |
| Enumeration Date | 2018-06-19 |
| Last Update Date | 2024-01-24 |