| NPI | 1770740037 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: VA 0101247724) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101247724) |
| 207R00000X Internal Medicine (Licence: MD p-22574) | |
| Enumeration Date | 2008-05-22 |
| Last Update Date | 2022-01-07 |