| NPI | 1346408523 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: CA A109922) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: CO DR.0051188) |
| Enumeration Date | 2008-05-24 |
| Last Update Date | 2018-01-12 |