| NPI | 1356560874 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: AZ 37298) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301083740) |
| 207R00000X Internal Medicine (Licence: AZ 37298) | |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2019-04-03 |