| NPI | 1841677887 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: MN 69512) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036-145900) |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: IL 036-145900) | |
| Enumeration Date | 2015-04-28 |
| Last Update Date | 2023-02-08 |