| NPI | 1386641025 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: CT 036071) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CT 036071) |
| 207R00000X Internal Medicine (Licence: MA 73862) | |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: MA 73862) | |
| Enumeration Date | 2005-07-07 |
| Last Update Date | 2014-09-18 |