| NPI | 1114599768 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZM0300X Pathology, Medical Microbiology (Licence: MN 82731) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0116035336) |
| Enumeration Date | 2021-07-13 |
| Last Update Date | 2026-06-29 |