| NPI | 1972504314 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OR MD204668) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CO DR.0041439) |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: CO DR.0041439) | |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: OR MD204668) | |
| Enumeration Date | 2005-08-09 |
| Last Update Date | 2022-01-27 |