| NPI | 1942228259 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: AZ 56845) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ 56845) |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: MN 45301) | |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: ID MC-2536) | |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2024-01-05 |