| NPI | 1578690343 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: CA G65207) |
| Additional Taxonomies | 174400000X Specialist (Licence: CA G65207) |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2015-10-26 |