| NPI | 1992246136 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine Infectious Disease (Licence: WA MD61288040) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA MD61288040) |
| Enumeration Date | 2017-03-20 |
| Last Update Date | 2022-06-08 |