| NPI | 1083663694 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: PA MD435097) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: DE C1-0008498) |
| Enumeration Date | 2006-05-09 |
| Last Update Date | 2010-12-29 |