| NPI | 1982806063 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: SC 39371) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: PA MD433588) |
| Enumeration Date | 2007-06-01 |
| Last Update Date | 2016-09-08 |