| NPI | 1629523287 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: WI 76616) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: KS 9409070) |
| Enumeration Date | 2016-08-23 |
| Last Update Date | 2022-08-01 |