| NPI | 1023380086 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: NV 14717) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI as3062508-60) |
| 207R00000X Internal Medicine (Licence: NV 14717) | |
| Enumeration Date | 2012-02-06 |
| Last Update Date | 2020-04-01 |