| NPI | 1831439744 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: GA 12249) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: NC 83983) |
| Enumeration Date | 2013-03-01 |
| Last Update Date | 2013-03-01 |