| NPI | 1174587422 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: KS 04-25907) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: MO R9G03) |
| Enumeration Date | 2006-04-13 |
| Last Update Date | 2019-02-07 |