| NPI | 1528099397 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: MI 4301087179) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301087179) |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2019-11-07 |