| NPI | 1790757227 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: WI 43830) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: MN 46024) |
| Enumeration Date | 2006-02-07 |
| Last Update Date | 2016-02-08 |