| NPI | 1144236381 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: MN 105896) | 
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: GA 59347) | 
| Enumeration Date | 2006-07-31 | 
| Last Update Date | 2012-09-27 |