| NPI | 1154314839 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: MT 126601) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: IL 036088881) |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: MO R8H72) | |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: MN 70640) | |
| Enumeration Date | 2005-08-26 |
| Last Update Date | 2025-04-09 |