| NPI | 1699878504 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: KS 04-28743) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: MO 2009021564) |
| Enumeration Date | 2006-09-06 |
| Last Update Date | 2019-02-07 |