| NPI | 1891924619 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: MD D78371) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: DC MD037944) |
| 207R00000X Internal Medicine (Licence: MD 0101232128) | |
| Enumeration Date | 2009-07-14 |
| Last Update Date | 2014-12-01 |