| NPI | 1396123709 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: WI 76428) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 60697) |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: MN 60697) | |
| Enumeration Date | 2015-05-18 |
| Last Update Date | 2023-08-10 |