| NPI | 1346223518 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: MO R9579) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: KS 0417557) |
| Enumeration Date | 2005-11-22 |
| Last Update Date | 2007-07-08 |