| NPI | 1962683581 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: KY 56921) |
| Additional Taxonomies | 174400000X Specialist (Licence: LA MD.201407) |
| 207R00000X Internal Medicine (Licence: LA MD.201407) | |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: LA MD.201407) | |
| Enumeration Date | 2007-11-26 |
| Last Update Date | 2022-06-21 |