| NPI | 1912973041 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: NV DO3698) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: AZ 006611) |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: PA OS008871L) | |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: NY 218797-1) | |
| Enumeration Date | 2006-02-28 |
| Last Update Date | 2024-06-19 |