| NPI | 1598737587 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: NM MD2020-0838) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: CA G79430) |
| Enumeration Date | 2006-02-03 |
| Last Update Date | 2020-09-17 |