| NPI | 1518021617 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: MA 213457) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD431379) |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: PA MD431379) | |
| Enumeration Date | 2006-12-21 |
| Last Update Date | 2018-07-23 |