| NPI | 1922456615 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: MI 5101024487) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 5101022383) |
| 207R00000X Internal Medicine (Licence: MI 5101024487) | |
| Enumeration Date | 2016-06-02 |
| Last Update Date | 2023-10-19 |