| NPI | 1497711865 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: IN 01030930) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: CA G153225) |
| Enumeration Date | 2006-04-25 |
| Last Update Date | 2018-11-05 |