| NPI | 1104028919 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: NJ 25MB09331000) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: DE C7-0003773) |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: DE C7-0003733) | |
| Enumeration Date | 2007-06-04 |
| Last Update Date | 2018-07-18 |