| NPI | 1295870186 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: SC 1091) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: LA DO000367) |
| Enumeration Date | 2007-02-20 |
| Last Update Date | 2020-11-13 |