| NPI | 1841506870 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: AL 36985) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AL 36985) |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: WI 64061) | |
| Enumeration Date | 2010-08-27 |
| Last Update Date | 2021-08-23 |