| NPI | 1750582805 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: CT 048510) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: LA 201555) |
| Enumeration Date | 2007-05-29 |
| Last Update Date | 2018-08-06 |