| NPI | 1912904590 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine Infectious Disease (Licence: MS 21358) |
| Additional Taxonomies | 207RI0200X Internal Medicine Infectious Disease (Licence: FL ME72349) |
| 207RI0200X Internal Medicine Infectious Disease (Licence: LA 015311) | |
| Enumeration Date | 2005-06-28 |
| Last Update Date | 2020-09-22 |