| NPI | 1477525822 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: SC 35368) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: KY 41444) |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: MN 47834) | |
| Enumeration Date | 2006-02-01 |
| Last Update Date | 2021-06-30 |