| NPI | 1609859636 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA MD022043E) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: PA MD022043-E) |
| Enumeration Date | 2005-11-23 |
| Last Update Date | 2012-05-09 |