| NPI | 1194927384 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: WA MD 60206426) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: DE C1-0009432) |
| Enumeration Date | 2007-06-01 |
| Last Update Date | 2021-04-23 |