| NPI | 1700205754 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: GA 76843) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 007030) |
| Enumeration Date | 2014-04-07 |
| Last Update Date | 2021-03-30 |