| NPI | 1912139700 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: FL ME44411) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME44411) |
| 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine (Licence: FL ME44411) | |
| Enumeration Date | 2009-08-13 |
| Last Update Date | 2011-03-14 |