| NPI | 1427046341 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: CA 070169) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: CA A701690) |
| Enumeration Date | 2005-10-13 |
| Last Update Date | 2014-10-07 |