| NPI | 1558497974 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CT 040096) |
| Additional Taxonomies | 207RI0200X Internal Medicine Infectious Disease (Licence: CT 040096) |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2017-05-10 |