| NPI | 1982630075 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: LA 334371) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: MS 15572) |
| Enumeration Date | 2006-06-23 |
| Last Update Date | 2024-04-12 |