| NPI | 1093854093 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: OK 29436) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: TX M9597) |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2012-12-17 |