| NPI | 1013911692 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: NE 25610) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: IA 26768) |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: WI 42829) | |
| Enumeration Date | 2005-06-10 |
| Last Update Date | 2018-10-01 |