| NPI | 1669796140 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: OR MD213407) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OR MD213407) |
| 207R00000X Internal Medicine (Licence: WI 56982) | |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: WI 56982-20) | |
| Enumeration Date | 2010-03-26 |
| Last Update Date | 2022-12-06 |