| NPI | 1417947482 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine Infectious Disease (Licence: OK 14704) |
| Additional Taxonomies | 207RI0200X Internal Medicine Infectious Disease (Licence: TX F4105) |
| Enumeration Date | 2005-10-21 |
| Last Update Date | 2011-06-30 |