| NPI | 1023242864 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: WI 60912) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AR E-7415) |
| Enumeration Date | 2009-05-07 |
| Last Update Date | 2015-06-12 |