| NPI | 1922250273 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: ND 12554) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: MN 53421) |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: MN 104958) | |
| Enumeration Date | 2008-10-17 |
| Last Update Date | 2023-07-17 |