| NPI | 1316132962 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: CT 054427) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: CT 054427) |
| Enumeration Date | 2007-09-06 |
| Last Update Date | 2015-09-15 |