| NPI | 1366609042 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: CA A060307) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: NY 235178) |
| Enumeration Date | 2008-05-20 |
| Last Update Date | 2014-04-15 |