| NPI | 1861441594 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: CA 20A9786) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: NY 180755) |
| Enumeration Date | 2006-05-09 |
| Last Update Date | 2012-02-15 |