| NPI | 1588720783 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: ID M-16906) |
| Additional Taxonomies | 174400000X Specialist (Licence: UT 184097-1205) |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: MA 249742) | |
| Enumeration Date | 2006-12-29 |
| Last Update Date | 2023-01-20 |