| NPI | 1225099831 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: NE 30733) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: NC 9701454) |
| Enumeration Date | 2006-03-31 |
| Last Update Date | 2018-08-21 |