| NPI | 1033473590 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: VA 0101264971) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA L-251714) |
| Enumeration Date | 2012-06-29 |
| Last Update Date | 2022-03-28 |