| NPI | 1063458156 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: KY 42995) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: AL 7463) |
| Enumeration Date | 2006-06-20 |
| Last Update Date | 2013-01-30 |