| NPI | 1649273798 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: GA 030962) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: GA 30962) |
| Enumeration Date | 2005-05-23 |
| Last Update Date | 2013-09-19 |