| NPI | 1104129634 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: FL OS11063) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL OS11063) |
| Enumeration Date | 2010-12-05 |
| Last Update Date | 2016-12-08 |