| NPI | 1477616993 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CO DR.0055463) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: CO DR.0055463) |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: IL 036095846) | |
| Enumeration Date | 2006-12-18 |
| Last Update Date | 2021-04-07 |