| NPI | 1659441699 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: OR MD25722) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: WA MD00045076) |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: CA A94688) | |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2015-02-17 |