| NPI | 1316941222 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: VA 0101230684) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: MA 221230) |
| Enumeration Date | 2005-06-08 |
| Last Update Date | 2024-07-08 |