| NPI | 1841253754 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: TN 009456) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: GA 028006) |
| Enumeration Date | 2006-04-11 |
| Last Update Date | 2013-12-30 |