| NPI | 1639387004 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine Infectious Disease (Licence: NC 2012-00979) |
| Additional Taxonomies | 207RI0200X Internal Medicine Infectious Disease (Licence: MD D70354) |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2021-08-11 |