| NPI | 1902819196 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: MD D0059993) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: MD D0059993) |
| Enumeration Date | 2006-08-15 |
| Last Update Date | 2020-04-22 |