| NPI | 1770532806 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA MD027317E) |
| Additional Taxonomies | 207RI0200X Internal Medicine Infectious Disease (Licence: PA MD027317E) |
| Enumeration Date | 2006-05-08 |
| Last Update Date | 2020-10-08 |