| NPI | 1053304097 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 25731) |
| Additional Taxonomies | 207RI0200X Internal Medicine Infectious Disease (Licence: NC 25731) |
| Enumeration Date | 2005-08-24 |
| Last Update Date | 2022-03-18 |