| NPI | 1255361135 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: MO 106962) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: MO MO106962) |
| Enumeration Date | 2006-07-04 |
| Last Update Date | 2021-04-14 |