| NPI | 1205861580 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: CA G44562) |
| Additional Taxonomies | 174400000X Specialist |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2019-05-29 |