| NPI | 1154397883 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: PR 3253) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: TX D6850) |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: FL ME92263) | |
| Enumeration Date | 2006-02-23 |
| Last Update Date | 2007-07-08 |