| 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 | 2025-05-23 |