| NPI | 1811056336 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: MT 11397) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: UT 5756397-1205) |
| Enumeration Date | 2006-12-08 |
| Last Update Date | 2021-05-03 |