| NPI | 1295053239 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: FL ME117014) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME117014) |
| 207R00000X Internal Medicine (Licence: IL 036124994) | |
| Enumeration Date | 2010-05-14 |
| Last Update Date | 2014-01-13 |