| NPI | 1619298205 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: MN 54086) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 54086) |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: WI 66667) | |
| Enumeration Date | 2010-06-17 |
| Last Update Date | 2020-08-13 |