| NPI | 1023208683 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A64097) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: GA 68919) |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: CA A64097) | |
| Enumeration Date | 2007-07-30 |
| Last Update Date | 2020-06-22 |