| NPI | 1568552107 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: VA 0101053269) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101053269) |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: IA 28758) | |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2022-04-08 |