| NPI | 1881855377 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: PA OS016864) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: CT 00001) |
| Enumeration Date | 2008-06-18 |
| Last Update Date | 2017-02-13 |