| NPI | 1952403016 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: MO 2010009945) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MO 2010009945) |
| 207R00000X Internal Medicine (Licence: MO 2010009945) | |
| Enumeration Date | 2006-09-01 |
| Last Update Date | 2022-08-23 |