| NPI | 1265568943 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: MA 230827) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA P-230827) |
| 208000000X Pediatrics (Licence: MA 230827) | |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2012-05-22 |