| NPI | 1306832860 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine Infectious Disease (Licence: IL 036-086936) |
| Additional Taxonomies | 207RI0200X Internal Medicine Infectious Disease (Licence: IA 3418) |
| 207RI0200X Internal Medicine Infectious Disease (Licence: IN 02002583A) | |
| Enumeration Date | 2005-09-21 |
| Last Update Date | 2021-12-21 |