| NPI | 1326247867 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: GA 65985) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: NY 243092) |
| Enumeration Date | 2007-07-14 |
| Last Update Date | 2011-09-28 |