| NPI | 1952665788 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: NC 2022-03151) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: PA MD475305) |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: MN 72715) | |
| Enumeration Date | 2012-06-26 |
| Last Update Date | 2024-06-20 |