| NPI | 1659821106 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine Infectious Disease (Licence: AZ 57866) |
| Additional Taxonomies | 207RI0200X Internal Medicine Infectious Disease (Licence: AZ R77287) |
| Enumeration Date | 2016-10-08 |
| Last Update Date | 2021-06-07 |