| NPI | 1578520706 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: WI 65882) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: NC 200200803) |
| Enumeration Date | 2006-05-01 |
| Last Update Date | 2021-01-25 |