| NPI | 1285807768 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CT 046167) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: CT 046167) |
| Enumeration Date | 2008-04-07 |
| Last Update Date | 2011-02-22 |