| NPI | 1871607226 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: GA 055136) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 055136) |
| Enumeration Date | 2006-08-19 |
| Last Update Date | 2009-06-30 |