| NPI | 1245283902 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME57994) |
| Additional Taxonomies | 207RI0200X Internal Medicine Infectious Disease (Licence: FL ME57994) |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2010-04-26 |