| NPI | 1154504504 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: IA 39434) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IA 39434) |
| 207R00000X Internal Medicine (Licence: TX BP10025135) | |
| Enumeration Date | 2007-12-07 |
| Last Update Date | 2013-09-11 |