| NPI | 1023292976 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: OK 33682) | 
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX BP10027683) | 
| Enumeration Date | 2007-12-27 | 
| Last Update Date | 2018-06-11 |