| NPI | 1497849012 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: MN 51734) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IA 36203) |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: IA 36203) | |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2020-11-09 |