| NPI | 1003298811 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: MO 2020009401) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: KS 05-43061) |
| Enumeration Date | 2015-06-29 |
| Last Update Date | 2020-07-16 |