| NPI | 1265471650 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MO 2007010580) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: MO 2007010580) |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: TN 39419) | |
| Enumeration Date | 2006-06-04 |
| Last Update Date | 2024-05-31 |