| NPI | 1356367809 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: CA C54090) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA C54090) |
| 207R00000X Internal Medicine (Licence: IA 37101) | |
| 207RG0300X Internal Medicine, Geriatric Medicine (Licence: IA 37101) | |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: IA 37101) | |
| Enumeration Date | 2006-07-15 |
| Last Update Date | 2020-03-16 |