| NPI | 1134400534 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: MN 57949) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NM RS2011-0276) |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: WI 69558) | |
| Enumeration Date | 2011-08-30 |
| Last Update Date | 2020-08-11 |