| NPI | 1770692782 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: DE C10002931) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: MD D0060900) |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2008-01-31 |