| NPI | 1578778775 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: MI 4301084466) | 
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301084466) | 
| Enumeration Date | 2007-05-11 | 
| Last Update Date | 2020-10-23 |