| NPI | 1831342096 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: CO 0052671) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OR LL17838) |
| Enumeration Date | 2008-10-30 |
| Last Update Date | 2015-01-14 |