| NPI | 1366790990 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: TX 13619) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: ND 13619) |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: ND PT 13619) | |
| Enumeration Date | 2012-08-29 |
| Last Update Date | 2021-01-07 |