| NPI | 1700020278 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: TX Q6494) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX Q6494) |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: MS 21984) | |
| Enumeration Date | 2009-04-28 |
| Last Update Date | 2022-07-21 |