| NPI | 1932166675 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MN 43697) |
| Additional Taxonomies | 207RI0200X Internal Medicine Infectious Disease (Licence: MN 43697) |
| Enumeration Date | 2006-04-27 |
| Last Update Date | 2024-10-02 |