| NPI | 1134500408 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: IA MD-46612) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IA MD-46612) |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: CO DR.0070416) | |
| Enumeration Date | 2015-06-12 |
| Last Update Date | 2025-01-13 |