| NPI | 1922275171 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: GA 81639) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 149261) |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: MA 246637) | |
| Enumeration Date | 2008-05-15 |
| Last Update Date | 2023-05-25 |