| NPI | 1669492633 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: MI MI5695018) |
| Additional Taxonomies | 174400000X Specialist (Licence: MI 4301032762) |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2013-04-18 |