| NPI | 1730126202 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: CO 0051957) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: MI 5101015497) |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: LA 000250) | |
| Enumeration Date | 2006-06-01 |
| Last Update Date | 2013-07-19 |