| NPI | 1861839458 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA MT204536) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: WA MDRE.ML.60738000) |
| Enumeration Date | 2013-05-23 |
| Last Update Date | 2017-04-27 |