| NPI | 1235222324 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: LA 08107R) |
| Additional Taxonomies | 174400000X Specialist (Licence: LA MD.08107R) |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2015-10-22 |