| NPI | 1144580762 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: LA MD.207131) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A120157) |
| Enumeration Date | 2012-05-17 |
| Last Update Date | 2015-10-14 |