| NPI | 1255399622 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: LA MD.08670R) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: LA MD.08670R) |
| Enumeration Date | 2006-05-03 |
| Last Update Date | 2017-03-28 |