| NPI | 1124101662 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: CA A118804) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: WA ML60023249) |
| Enumeration Date | 2006-10-20 |
| Last Update Date | 2025-06-05 |