| NPI | 1295956092 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A94549) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: CA A94549) |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2010-03-23 |