| NPI | 1962830653 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: TX V4388) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036.140742) |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: IL 036-140742) | |
| Enumeration Date | 2013-10-16 |
| Last Update Date | 2025-02-04 |