| NPI | 1124021340 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: TN 040177) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: GA 060877) |
| Enumeration Date | 2005-05-23 |
| Last Update Date | 2013-12-30 |