| NPI | 1619907714 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: MD R148132) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MD R148132) |
| Enumeration Date | 2006-07-04 |
| Last Update Date | 2014-01-10 |