| NPI | 1871607945 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: ND 13660) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: WI 45141) |
| Enumeration Date | 2006-08-18 |
| Last Update Date | 2016-02-12 |