| NPI | 1316939473 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: SC 8298) |
| Additional Taxonomies | 207RI0200X Internal Medicine Infectious Disease (Licence: SC 8298) |
| 207ZM0300X Pathology Medical Microbiology (Licence: SC 8298) | |
| 2083P0901X Preventive Medicine Public Health & General Preventive Medicine (Licence: SC 8298) | |
| Enumeration Date | 2005-08-16 |
| Last Update Date | 2023-03-07 |