| NPI | 1205020310 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: WA MD60429475) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: IL 036-115565) |
| Enumeration Date | 2007-08-31 |
| Last Update Date | 2014-04-08 |