| NPI | 1417168097 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: CA A81900) |
| Additional Taxonomies | 174400000X Specialist (Licence: CA A81900) |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2021-12-02 |