| NPI | 1427584192 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: CT 070800) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CT 070800) |
| 207R00000X Internal Medicine (Licence: CO DR.0067178) | |
| Enumeration Date | 2017-05-02 |
| Last Update Date | 2022-07-27 |