| NPI | 1356501100 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: CA C168056) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA C168056) |
| 207R00000X Internal Medicine (Licence: PA MD432759) | |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: PA MD432759) | |
| Enumeration Date | 2008-06-16 |
| Last Update Date | 2020-12-18 |