| NPI | 1013205285 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: IA MD-45803) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IA MD-45803) |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: MO 2015035775) | |
| Enumeration Date | 2011-07-21 |
| Last Update Date | 2019-06-27 |