| NPI | 1649293895 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: AZ 3216) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: ID OC-0432) |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2025-08-04 |