| NPI | 1245324839 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: DC 15694) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: NY 140260) |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2007-07-08 |