| NPI | 1104812528 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: IL 036-103864) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: IA 35821) |
| Enumeration Date | 2005-09-21 |
| Last Update Date | 2021-12-21 |