| NPI | 1194977652 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: CA A111310) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A111310) |
| Enumeration Date | 2008-10-15 |
| Last Update Date | 2020-04-14 |