| NPI | 1700049376 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: CA A170908) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: ME MD22254) |
| Enumeration Date | 2008-07-03 |
| Last Update Date | 2022-02-11 |