| NPI | 1962437780 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: OR MD189794) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: AZ 48423) |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: ND 8375) | |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2021-03-24 |