| NPI | 1033149711 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A63218) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: CA A63218) |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2022-07-22 |