| NPI | 1205032562 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: MN 53304) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI NA) |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: WI 60058) | |
| Enumeration Date | 2007-06-25 |
| Last Update Date | 2020-09-30 |