| NPI | 1306887492 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: GA 057198) |
| Additional Taxonomies | 174400000X Specialist (Licence: GA 057198) |
| 174400000X Specialist (Licence: LA md.012774) | |
| Enumeration Date | 2006-06-09 |
| Last Update Date | 2018-10-31 |