| NPI | 1144337627 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: TX H7167)  | 
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: MI 4301046479)  | 
| Enumeration Date | 2006-08-23 | 
| Last Update Date | 2007-11-27 |