| NPI | 1265522684 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: CA A25668) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: CA A25668) |
| Enumeration Date | 2006-10-14 |
| Last Update Date | 2019-09-17 |