| NPI | 1114901329 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: NM 95-309) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: MN 36376) |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: CA A054401) | |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: AZ 22376) | |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: IN 01057741A) | |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: KY 38165) | |
| Enumeration Date | 2005-12-01 |
| Last Update Date | 2022-07-21 |