| NPI | 1154404549 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: MN 55841) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IA 39132) |
| 207R00000X Internal Medicine (Licence: AL 25960) | |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: MO 55841) | |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: MN 106413) | |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: IA 39132) | |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: AL 25960) | |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2021-03-11 |