| NPI | 1578049870 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: CO DR.0073115) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CO DR.0073115) |
| Enumeration Date | 2018-07-19 |
| Last Update Date | 2024-07-22 |