| NPI | 1831206812 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: CA A109280) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX M3765) |
| Enumeration Date | 2006-08-24 |
| Last Update Date | 2011-10-26 |