| NPI | 1740245018 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: FL ME63732) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WV 17822) |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: WV 17822) | |
| Enumeration Date | 2006-04-19 |
| Last Update Date | 2020-12-30 |