| NPI | 1225174105 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: PA MD439361) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: PA T1769) |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: MD D69340) | |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2011-11-04 |