| NPI | 1477967578 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine Infectious Disease (Licence: TX S7446) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX S7446) |
| 207R00000X Internal Medicine (Licence: MI 4301104709) | |
| 207RI0200X Internal Medicine Infectious Disease (Licence: MN 61854) | |
| Enumeration Date | 2014-06-17 |
| Last Update Date | 2022-04-21 |