| NPI | 1467678979 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: NC 156282) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: WV 2209) |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2023-04-12 |