| NPI | 1114917416 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 53378) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: MA 53378) |
| Enumeration Date | 2005-10-27 |
| Last Update Date | 2012-08-07 |