| NPI | 1689671281 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: MI 5101010780) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: MI FR010780) |
| Enumeration Date | 2005-06-28 |
| Last Update Date | 2023-08-07 |