| NPI | 1821225129 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: VA 0102202763) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0102202763) |
| Enumeration Date | 2009-06-15 |
| Last Update Date | 2016-09-02 |