| NPI | 1740563907 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: GA 68977) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 68977) |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: WI 2986) | |
| Enumeration Date | 2011-09-23 |
| Last Update Date | 2024-07-17 |