| NPI | 1124101662 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: WA ML60023249) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA ML60023249) |
| Enumeration Date | 2006-10-20 |
| Last Update Date | 2010-04-12 |