| NPI | 1326468158 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: CA C203628) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA C203628) |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: WA MD60966472) | |
| Enumeration Date | 2014-04-19 |
| Last Update Date | 2025-08-27 |