| NPI | 1609899525 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: LA MD.12704R) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: LA MD.12704R) |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2010-10-26 |