| NPI | 1699715748 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: FL me71001) |
| Additional Taxonomies | 174400000X Specialist (Licence: FL ME71001) |
| Enumeration Date | 2006-06-07 |
| Last Update Date | 2021-03-30 |