| NPI | 1063646792 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: MA 258664) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A107583) |
| Enumeration Date | 2009-05-09 |
| Last Update Date | 2014-06-17 |