| NPI | 1962652560 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: MA 254144) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 236824) |
| Enumeration Date | 2008-09-19 |
| Last Update Date | 2016-05-05 |