| NPI | 1811971237 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: SC 14907) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: MO 100253) |
| Enumeration Date | 2005-11-30 |
| Last Update Date | 2023-01-18 |