| NPI | 1225230485 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: KS 04-35026) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: MO 2016017551) |
| Enumeration Date | 2007-06-01 |
| Last Update Date | 2021-12-09 |