| NPI | 1922157338 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: GA 73781) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: GA 073781) |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2017-04-17 |