| NPI | 1720018740 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine Infectious Disease (Licence: PA MD-016776-E) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD016776E) |
| Enumeration Date | 2006-07-04 |
| Last Update Date | 2016-02-01 |