| NPI | 1760821060 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine Infectious Disease (Licence: MI 4301119288) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301103222) |
| Enumeration Date | 2013-06-19 |
| Last Update Date | 2024-05-15 |