| NPI | 1255366456 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: GA 022831) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 022831) |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2012-02-13 |