| NPI | 1992875264 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: MI 4301047324) |
| Additional Taxonomies | 174400000X Specialist (Licence: MI MO047324) |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2014-09-26 |