| NPI | 1487041000 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: ND 16365) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0102205398) |
| Enumeration Date | 2015-04-21 |
| Last Update Date | 2020-08-12 |