| NPI | 1841486354 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: MI 4301103952) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: MN 50528) |
| Enumeration Date | 2007-09-18 |
| Last Update Date | 2014-04-03 |