| NPI | 1336216803 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: AZ 36224)  | 
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ 36224)  | 
| Enumeration Date | 2006-11-29 | 
| Last Update Date | 2018-08-23 |