| NPI | 1679662381 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: AZ 43323) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NE 22061) |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: NE 22061) | |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2015-06-02 |