| NPI | 1558481333 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: KY 49133) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WI 53421-020) |
| 207R00000X Internal Medicine (Licence: IL 036.124802) | |
| 207R00000X Internal Medicine (Licence: MI 4301096002) | |
| 207R00000X Internal Medicine (Licence: IN 01071011A) | |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2016-08-18 |