| NPI | 1649286782 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: GA 046367) |
| Additional Taxonomies | 174400000X Specialist (Licence: GA 032036) |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2018-06-16 |