| NPI | 1386082287 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: FL OS16156) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX BP10046840) |
| Enumeration Date | 2013-06-13 |
| Last Update Date | 2020-08-31 |