| NPI | 1609396571 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: MO 2020019629) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2017016917) |
| 207R00000X Internal Medicine (Licence: KS 94-10198) | |
| Enumeration Date | 2017-06-22 |
| Last Update Date | 2022-08-05 |