| NPI | 1730381922 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: AZ 005701) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL OS10369) |
| 207R00000X Internal Medicine (Licence: AZ 005701) | |
| Enumeration Date | 2007-06-01 |
| Last Update Date | 2012-10-25 |