| NPI | 1730372277 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: GA 063175) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: TN 42584) |
| Enumeration Date | 2007-08-18 |
| Last Update Date | 2014-07-10 |