| NPI | 1366606162 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: IA 39483) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IA R-8280) |
| 207R00000X Internal Medicine (Licence: IA 39483) | |
| Enumeration Date | 2008-07-11 |
| Last Update Date | 2013-07-11 |