| NPI | 1619243235 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: MI 4301502546) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301100898) |
| Enumeration Date | 2012-03-28 |
| Last Update Date | 2020-04-24 |