| NPI | 1114900537 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: CA G62747) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: MA 79625) |
| Enumeration Date | 2005-11-21 |
| Last Update Date | 2018-10-24 |