| NPI | 1326050105 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: FL ME96311) |
| Additional Taxonomies | 174400000X Specialist (Licence: FL ME 96311) |
| Enumeration Date | 2006-08-12 |
| Last Update Date | 2026-01-22 |