| NPI | 1821415647 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: SC 39100) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: GA 071594) |
| Enumeration Date | 2014-03-19 |
| Last Update Date | 2020-12-15 |