| NPI | 1295044618 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: CT 052964) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: MD D0063371) |
| Enumeration Date | 2010-10-04 |
| Last Update Date | 2015-10-26 |