| NPI | 1346280211 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: CA 51900) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: TX 41318) |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: GA 080199) | |
| Enumeration Date | 2006-06-07 |
| Last Update Date | 2018-05-30 |