| NPI | 1982854352 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: WA MD6033975) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: NC 2023-02895) |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: FL ME164166) | |
| Enumeration Date | 2008-09-23 |
| Last Update Date | 2025-02-27 |