| NPI | 1336177864 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: WI 64047) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: MI 4301083277) |
| Enumeration Date | 2006-06-30 |
| Last Update Date | 2023-03-07 |