| NPI | 1518282219 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: CO DR.0066806) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 262071) |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: MA 262071) | |
| Enumeration Date | 2010-04-06 |
| Last Update Date | 2021-09-22 |