| NPI | 1669408324 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: KS 04-25189) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KS 04-25189) |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: TX M1617) | |
| Enumeration Date | 2006-06-24 |
| Last Update Date | 2024-02-12 |