| NPI | 1205972239 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: CA G198948) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA G198948) |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: WA MD00032031) | |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2025-03-18 |