| NPI | 1790826063 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: MO 1167130559) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: KS 0432352) |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: NY 60 243812) | |
| Enumeration Date | 2007-02-09 |
| Last Update Date | 2022-01-27 |