| NPI | 1255307203 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: ND 13042) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: MN 45260) |
| Enumeration Date | 2006-02-28 |
| Last Update Date | 2017-06-19 |