| NPI | 1144276486 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: GA 066677) |
| Additional Taxonomies | 207RA0201X Internal Medicine, Allergy & Immunology (Licence: PA MD070938L) |
| Enumeration Date | 2006-05-26 |
| Last Update Date | 2016-04-13 |