| NPI | 1366405078 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: MO R6F91) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: KS 04-26047) |
| Enumeration Date | 2006-04-11 |
| Last Update Date | 2019-02-07 |