| NPI | 1275589327 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MN 18722) |
| Additional Taxonomies | 207RI0200X Internal Medicine Infectious Disease (Licence: MN 18722) |
| 207R00000X Internal Medicine | |
| 207RI0200X Internal Medicine Infectious Disease | |
| Enumeration Date | 2006-05-26 |
| Last Update Date | 2007-07-08 |