| NPI | 1780693184 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: MI 4301110671) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: ME 016684) |
| Enumeration Date | 2006-08-05 |
| Last Update Date | 2016-07-07 |