| NPI | 1124200076 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: CA A133789) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: SD 8245) |
| Enumeration Date | 2007-12-03 |
| Last Update Date | 2015-02-04 |