| NPI | 1376527259 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: AZ 64092) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: MN 46299) |
| Enumeration Date | 2005-12-03 |
| Last Update Date | 2025-03-14 |