| NPI | 1922068832 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: NM 97-351) |
| Additional Taxonomies | 207RI0200X Internal Medicine Infectious Disease (Licence: NM 97-351) |
| Enumeration Date | 2006-03-24 |
| Last Update Date | 2020-12-23 |