| NPI | 1215162110 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: IA MD-48352) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IA MD-48352) |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: KS 04-37027) | |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: IA 40204) | |
| Enumeration Date | 2009-05-20 |
| Last Update Date | 2021-07-08 |