| NPI | 1316093917 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: MT 12263) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MT 12263) |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: CO 45640) | |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2021-05-03 |