| NPI | 1013105220 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: MI 4301098017) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301098017) |
| 207R00000X Internal Medicine (Licence: IL 036.117546) | |
| Enumeration Date | 2007-10-12 |
| Last Update Date | 2011-08-26 |