| NPI | 1104801489 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine Infectious Disease (Licence: ME MD14027) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IA 28731) |
| 207RI0200X Internal Medicine Infectious Disease (Licence: IA 28731) | |
| 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: IA 28731) | |
| Enumeration Date | 2005-12-09 |
| Last Update Date | 2022-09-12 |