| NPI | 1356463160 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: AZ 36278) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301081670) |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2024-01-03 |