| NPI | 1356517304 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: FL ME115000) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX M9439) |
| Enumeration Date | 2008-04-30 |
| Last Update Date | 2014-08-01 |