| NPI | 1083610703 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine Infectious Disease (Licence: CA A82683) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A82683) |
| 207RG0300X Internal Medicine Geriatric Medicine (Licence: CA A82683) | |
| 207RI0200X Internal Medicine Infectious Disease (Licence: FL ME88635) | |
| Enumeration Date | 2005-06-27 |
| Last Update Date | 2012-11-27 |