| NPI | 1326129834 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: CT 042205) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CT 042205) |
| 207R00000X Internal Medicine (Licence: IL 036079302) | |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: IL 036079302) | |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2007-10-16 |