| NPI | 1114987377 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: CT 20627) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: DC MD7723) |
| Enumeration Date | 2006-03-23 |
| Last Update Date | 2011-04-29 |