| NPI | 1538142161 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine Infectious Disease (Licence: PA MD478859) |
| Additional Taxonomies | 207RI0200X Internal Medicine Infectious Disease (Licence: MA 79089) |
| Enumeration Date | 2005-11-29 |
| Last Update Date | 2022-10-05 |