| NPI | 1003170671 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: WI 63927) |
| Additional Taxonomies | 207KI0005X Allergy & Immunology, Clinical & Laboratory Immunology (Licence: WI 63927) |
| 207R00000X Internal Medicine (Licence: MA 252664) | |
| Enumeration Date | 2012-06-28 |
| Last Update Date | 2021-09-22 |