| NPI | 1609868108 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036-069182) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: IL 036-069182) |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: MO R6N20) | |
| Enumeration Date | 2005-08-19 |
| Last Update Date | 2024-03-27 |