| NPI | 1093935488 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: KS 04-32890) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KS 946324) |
| Enumeration Date | 2007-04-26 |
| Last Update Date | 2014-05-20 |