| NPI | 1417102427 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: CA C160818) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: GA 055145) |
| Enumeration Date | 2008-11-19 |
| Last Update Date | 2019-07-10 |