| NPI | 1962720326 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: GA 070409) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 430109038) |
| 207R00000X Internal Medicine (Licence: GA 070409) | |
| Enumeration Date | 2010-05-11 |
| Last Update Date | 2019-02-20 |