| NPI | 1861478299 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: AZ 53831) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: CO 40316) |
| Enumeration Date | 2005-12-18 |
| Last Update Date | 2022-12-19 |