| NPI | 1245495605 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: PA MD448805) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: WV 24045) |
| Enumeration Date | 2008-07-25 |
| Last Update Date | 2015-12-22 |