| NPI | 1780096032 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: ID O-1863) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: MI 5101025172) |
| Enumeration Date | 2014-05-21 |
| Last Update Date | 2023-07-03 |