| NPI | 1962602516 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: NC 2020-00240) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: SC SC31695) |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: WI 83633) | |
| Enumeration Date | 2007-07-23 |
| Last Update Date | 2024-04-23 |