| NPI | 1134204936 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine Infectious Disease (Licence: WA MD00036896) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OR MD171387) |
| Enumeration Date | 2006-10-27 |
| Last Update Date | 2015-05-19 |