| NPI | 1821063421 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: MN 25763) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: WI 60609) |
| 208D00000X General Practice (Licence: MN 25763) | |
| Enumeration Date | 2006-02-17 |
| Last Update Date | 2023-11-15 |