| NPI | 1740357425 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: GA 82636) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: WI 42178-020) |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2019-09-10 |