| NPI | 1457519332 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: NV 13790) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WI 51794-20) |
| 207R00000X Internal Medicine (Licence: MS 20790) | |
| 207R00000X Internal Medicine (Licence: LA 202702) | |
| Enumeration Date | 2008-05-28 |
| Last Update Date | 2023-06-14 |