| NPI | 1710323126 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: ID O-1163) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: OR DO176538) |
| Enumeration Date | 2013-05-13 |
| Last Update Date | 2023-12-08 |