| NPI | 1235286121 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: TN MD42683) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TN 42683) |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: IL 036.142285) | |
| Enumeration Date | 2007-01-04 |
| Last Update Date | 2022-03-29 |