| NPI | 1972786465 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: IL 036-159931) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 242627) |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: WI 3422-320) | |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: MN 75170) | |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: AZ 71318) | |
| Enumeration Date | 2007-12-07 |
| Last Update Date | 2024-03-15 |