| NPI | 1497718027 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: MS 17860) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: LA 13129) |
| Enumeration Date | 2006-04-06 |
| Last Update Date | 2014-09-19 |