| NPI | 1013236165 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: GA 064884) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: NY 259542) |
| Enumeration Date | 2010-05-27 |
| Last Update Date | 2013-02-22 |