| NPI | 1972823821 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: MA 254553) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 244196) |
| Enumeration Date | 2010-06-02 |
| Last Update Date | 2018-07-26 |