| NPI | 1003982695 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: NC 2006-00930) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WV 21772) |
| 207R00000X Internal Medicine (Licence: NC 2006-00930) | |
| Enumeration Date | 2006-11-27 |
| Last Update Date | 2021-08-19 |