| NPI | 1386964468 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine Infectious Disease (Licence: NC 2015-02323) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX BP10038074) |
| 207RI0200X Internal Medicine Infectious Disease (Licence: MN 57073) | |
| 207RI0200X Internal Medicine Infectious Disease (Licence: MN 106885) | |
| Enumeration Date | 2010-06-11 |
| Last Update Date | 2018-03-17 |