| NPI | 1649622127 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: MO 2023013889) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125.068473) |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: MO 2020014725) | |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: MO 2022025318) | |
| Enumeration Date | 2016-07-07 |
| Last Update Date | 2023-04-17 |