| NPI | 1275511594 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: GA 062553) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: MA 213434) |
| Enumeration Date | 2006-01-06 |
| Last Update Date | 2015-09-03 |