| NPI | 1265485478 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: SD 1770) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: SD 1770) |
| 207R00000X Internal Medicine (Licence: IA 28139) | |
| 207R00000X Internal Medicine (Licence: MN 025994) | |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: MN 025994) | |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: IA 28139) | |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2021-11-18 |