| NPI | 1962540112 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: MD D67194) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD D67194) |
| Enumeration Date | 2007-02-01 |
| Last Update Date | 2015-05-13 |