| NPI | 1659513364 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: MN 55738) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MN 106294) |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: WI 55076) | |
| Enumeration Date | 2009-03-26 |
| Last Update Date | 2020-08-19 |