| NPI | 1346260379 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: OR md163803) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: NV 11919) |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2016-02-29 |