| NPI | 1558506782 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: LA MD.202997) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MS 20962) |
| 207R00000X Internal Medicine (Licence: LA MD.202997) | |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: MS 20962) | |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: DE C1-0025159) | |
| Enumeration Date | 2008-12-02 |
| Last Update Date | 2022-11-17 |