| NPI | 1457783383 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: MA 1457783383) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: RI MD16759) |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: RI MD16759) | |
| Enumeration Date | 2013-08-02 |
| Last Update Date | 2020-03-12 |