| NPI | 1740497122 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: KS 04-39271) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: MO 2016023777) |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2019-02-07 |