| NPI | 1629414628 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: MI 4301102873) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301102873) |
| Enumeration Date | 2013-05-16 |
| Last Update Date | 2019-07-03 |