| NPI | 1053330472 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine Infectious Disease (Licence: CO DR.0055076) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: RI DO00633) |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2019-12-19 |