| NPI | 1659303659 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: FL ME0059063) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: FL ME59063) |
| 207RI0001X Internal Medicine, Clinical & Laboratory Immunology (Licence: FL ME0059063) | |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2009-05-04 |