| NPI | 1962865535 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: MO 2021019208) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CO DR.0064908) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MO 2021019208) | |
| Enumeration Date | 2016-03-31 |
| Last Update Date | 2024-09-09 |