| NPI | 1407848559 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: WA MD00032064) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA MD00032064) |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: WI 100163-875) | |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: MT 102896) | |
| Enumeration Date | 2005-08-16 |
| Last Update Date | 2023-03-30 |