| NPI | 1912346909 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine Infectious Disease (Licence: VA 0101257058) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101257058) |
| Enumeration Date | 2013-06-23 |
| Last Update Date | 2025-06-30 |