| NPI | 1437718756 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: MS 29309) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MS 29309) |
| 208D00000X General Practice (Licence: MS 29309) | |
| Enumeration Date | 2019-06-11 |
| Last Update Date | 2024-06-28 |