| NPI | 1891797551 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: FL ME86916) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: MT 159661) |
| Enumeration Date | 2005-08-12 |
| Last Update Date | 2025-06-10 |