| NPI | 1548296775 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: CO DR.0038972) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: CA A90234) |
| Enumeration Date | 2006-06-22 |
| Last Update Date | 2024-12-31 |