| NPI | 1215342621 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0101267728) |
| Additional Taxonomies | 207RI0200X Internal Medicine Infectious Disease (Licence: VA 0101267728) |
| 207RI0200X Internal Medicine Infectious Disease (Licence: AL 36128) | |
| Enumeration Date | 2014-06-24 |
| Last Update Date | 2019-09-13 |