| NPI | 1366638561 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AZ 37948) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: AZ 37948) |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: MA 218627) | |
| Enumeration Date | 2007-09-20 |
| Last Update Date | 2021-04-30 |