| NPI | 1245252717 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: NC 26613) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: LA 14287R) |
| Enumeration Date | 2006-07-24 |
| Last Update Date | 2022-05-31 |