| NPI | 1952367328 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: PA MD452873) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: IN 01040347) |
| Enumeration Date | 2006-04-25 |
| Last Update Date | 2018-04-09 |