| NPI | 1679720460 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: CA A109301) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: VT 042.0016401) |
| 207R00000X Internal Medicine (Licence: CA A109301) | |
| Enumeration Date | 2008-08-22 |
| Last Update Date | 2024-08-06 |