| NPI | 1295763605 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine Infectious Disease (Licence: CA A30609) |
| Additional Taxonomies | 207ZF0201X Pathology Forensic Pathology (Licence: CA A30609) |
| Enumeration Date | 2006-06-28 |
| Last Update Date | 2015-01-06 |