| NPI | 1104017052 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: OR MD173026) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OR MD28071) |
| 207R00000X Internal Medicine (Licence: OR MD173026) | |
| Enumeration Date | 2007-08-06 |
| Last Update Date | 2020-10-05 |