| NPI | 1659752939 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: CA A191645) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: CO DR.0064445) |
| Enumeration Date | 2015-06-12 |
| Last Update Date | 2024-04-22 |