| NPI | 1417120171 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: KY 43321) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A101978) |
| Enumeration Date | 2008-04-02 |
| Last Update Date | 2012-04-18 |