| NPI | 1659605202 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RI0200X Internal Medicine Infectious Disease (Licence: MD D22996) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD D22996) |
| Enumeration Date | 2009-09-30 |
| Last Update Date | 2009-09-30 |