| NPI | 1043241128 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: GA 067326) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 236055) |
| 207R00000X Internal Medicine (Licence: GA 067326) | |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: NY 236055) | |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2012-07-10 |