| NPI | 1871936997 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: MD D92014) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: MA 284392) |
| Enumeration Date | 2013-04-08 |
| Last Update Date | 2021-07-27 |