| NPI | 1578501243 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: NM MD2012-0893) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: MD D38398) |
| Enumeration Date | 2006-06-03 |
| Last Update Date | 2013-06-21 |