| NPI | 1407146632 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: NE 31616) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: IA MD-46222) |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: WA MD60727215) | |
| Enumeration Date | 2011-04-08 |
| Last Update Date | 2019-08-07 |