| NPI | 1386105963 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: CO DR.0070855) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CO 0070855) |
| Enumeration Date | 2019-03-27 |
| Last Update Date | 2023-07-04 |