| NPI | 1992705982 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 2005-00141) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: NC 2005-00141) |
| Enumeration Date | 2005-07-31 |
| Last Update Date | 2016-07-08 |