| NPI | 1982664884 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine Infectious Disease (Licence: NM 97-205) |
| Additional Taxonomies | 174400000X Specialist (Licence: NM H6105) |
| Enumeration Date | 2006-03-24 |
| Last Update Date | 2020-12-23 |