| NPI | 1376762054 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: PA MD058724L) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD-058724-L) |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2016-02-01 |