| NPI | 1528221033 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: OK 26512) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OK 26512) |
| Enumeration Date | 2008-07-03 |
| Last Update Date | 2015-05-14 |