| NPI | 1376540617 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: HI MD-2401) |
| Additional Taxonomies | 173000000X Legal Medicine (Licence: HI MD2401) |
| Enumeration Date | 2005-07-01 |
| Last Update Date | 2021-04-21 |