| NPI | 1871880716 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine Infectious Disease (Licence: CA A141164) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301097987) |
| Enumeration Date | 2011-06-29 |
| Last Update Date | 2019-09-18 |