| NPI | 1699867341 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RI0200X Internal Medicine Infectious Disease (Licence: NE 16159) |
| Additional Taxonomies | 2083P0901X Preventive Medicine Public Health & General Preventive Medicine (Licence: NE 16159) |
| Enumeration Date | 2006-09-29 |
| Last Update Date | 2007-07-08 |