| NPI | 1841502671 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: UT 8668237-1205) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL TRN14648) |
| Enumeration Date | 2010-07-09 |
| Last Update Date | 2013-06-19 |