| NPI | 1790071199 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine Infectious Disease (Licence: IL 036-135068) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ R72529) |
| 207RI0200X Internal Medicine Infectious Disease (Licence: DE C1-0024896) | |
| Enumeration Date | 2011-06-23 |
| Last Update Date | 2022-11-08 |