| NPI | 1205093283 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: AR E-7800) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AR E-7800) |
| 207R00000X Internal Medicine (Licence: NC 141695) | |
| Enumeration Date | 2008-05-19 |
| Last Update Date | 2018-10-18 |