| NPI | 1326097387 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: GA 055016) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 055016) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: GA 055016) | |
| Enumeration Date | 2006-05-08 |
| Last Update Date | 2014-10-24 |