| NPI | 1386648822 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: LA DO 000055) |
| Additional Taxonomies | 174400000X Specialist (Licence: LA DO.000055) |
| Enumeration Date | 2005-06-13 |
| Last Update Date | 2015-10-22 |