| NPI | 1689600413 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PR 9267) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: PR 9267) |
| 2083X0100X Preventive Medicine, Occupational Medicine (Licence: PR 9267) | |
| Enumeration Date | 2006-06-23 |
| Last Update Date | 2016-12-19 |