| NPI | 1386651065 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: CT 051744) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A79705) |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: CA A79705) | |
| Enumeration Date | 2006-08-02 |
| Last Update Date | 2013-08-23 |