| NPI | 1275691925 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: PA MD434601) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: GA 029798) |
| Enumeration Date | 2006-12-05 |
| Last Update Date | 2021-09-05 |