| NPI | 1578663829 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: NV 14207) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: MT 0002642) |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: MA 75658) | |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2021-09-16 |