| NPI | 1144668799 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: MA 274873) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: MA 256231) |
| Enumeration Date | 2013-06-05 |
| Last Update Date | 2020-10-20 |