| NPI | 1467572313 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: MD D74355) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101239182) |
| 207R00000X Internal Medicine (Licence: DC MD036322) | |
| Enumeration Date | 2007-03-31 |
| Last Update Date | 2014-05-13 |