| NPI | 1972064129 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: KS 94-11679) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: UT 12751742-1205) |
| Enumeration Date | 2019-03-29 |
| Last Update Date | 2024-07-01 |