| NPI | 1063623981 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: MI 4301083444) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301083444) |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: MI 5315042575) | |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2023-05-30 |