| NPI | 1477658250 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: NC 2006-01505) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 0090-00904) |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2012-03-20 |