| NPI | 1467730168 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine Infectious Disease (Licence: MA 268942) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 249749) |
| Enumeration Date | 2011-07-28 |
| Last Update Date | 2019-01-05 |