| NPI | 1992797401 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0101026440) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: VA 0101-026440) |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: NC 200201348) | |
| Enumeration Date | 2005-08-19 |
| Last Update Date | 2024-06-24 |