| NPI | 1578722187 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: MN 54616) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA L-236722) |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: MN 105571) | |
| Enumeration Date | 2008-06-09 |
| Last Update Date | 2020-08-20 |