| NPI | 1457560492 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: NM MD2010-0176) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: FL ME106648) |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: WI 51559-020) | |
| 207R00000X Internal Medicine (Licence: IL 125049913) | |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2011-06-21 |