| NPI | 1912009655 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: CT 049258) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CT 049258) |
| Enumeration Date | 2006-09-02 |
| Last Update Date | 2011-08-04 |