| NPI | 1114181419 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: NC 2011-01073) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 201101073) |
| 207R00000X Internal Medicine (Licence: NC 0101248779) | |
| Enumeration Date | 2008-07-15 |
| Last Update Date | 2021-08-19 |