| NPI | 1376567800 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: KY 35842) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KY 35842) |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2012-12-07 |