| NPI | 1669421558 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: MD D71722) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: DC MD32748) |
| Enumeration Date | 2006-05-08 |
| Last Update Date | 2011-04-26 |