| NPI | 1801959390 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: MD D71080) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT185736) |
| 207R00000X Internal Medicine (Licence: PA MD434052) | |
| 207R00000X Internal Medicine (Licence: MD D71080) | |
| Enumeration Date | 2006-12-18 |
| Last Update Date | 2013-12-05 |