| NPI | 1730175290 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: ID M-12136) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: FL ME118134) |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: IL 036-049991) | |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: OR MD219214) | |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: CO CDRH.0020093) | |
| Enumeration Date | 2005-09-21 |
| Last Update Date | 2024-11-12 |