| NPI | 1386680304 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: VA 0101252104) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NV 11599) |
| Enumeration Date | 2006-06-20 |
| Last Update Date | 2021-06-28 |