| NPI | 1083976807 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: MA 266559) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 252843) |
| Enumeration Date | 2012-06-08 |
| Last Update Date | 2018-08-15 |