| NPI | 1124191937 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: DC MD 12162) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: MD D 19989) |
| Enumeration Date | 2006-11-17 |
| Last Update Date | 2007-07-08 |