| NPI | 1033378856 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: WI 62548-20) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: FL ME 118294) |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: TX P2382) | |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: PA MD449509) | |
| Enumeration Date | 2008-06-06 |
| Last Update Date | 2023-10-16 |