| NPI | 1700371713 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: CO DR.0072214) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: MN 73252) |
| Enumeration Date | 2018-06-22 |
| Last Update Date | 2024-05-03 |