| NPI | 1659354736 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: KS 04-32737) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: NY 001577) |
| Enumeration Date | 2005-11-22 |
| Last Update Date | 2014-08-21 |