| NPI | 1760440044 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: OR MD155497) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 2008-02066) |
| Enumeration Date | 2006-05-03 |
| Last Update Date | 2011-08-19 |