| NPI | 1750351805 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: MN 42050) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: WI 60576) |
| Enumeration Date | 2006-01-23 |
| Last Update Date | 2020-08-19 |