| NPI | 1124047063 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: MA 80315) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: CA G82313) |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2016-04-22 |