| NPI | 1649250622 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: MD D0036095) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD D0036095) |
| 207R00000X Internal Medicine (Licence: PA MD040278E) | |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: PA MD040278E) | |
| Enumeration Date | 2006-01-18 |
| Last Update Date | 2010-04-19 |