| NPI | 1194799585 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: MN 34743) |
| Additional Taxonomies | 208D00000X General Practice (Licence: MN 34743) |
| Enumeration Date | 2006-02-14 |
| Last Update Date | 2020-08-12 |