| NPI | 1710957212 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: MD D80846) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: CA GFE55530) |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: VA 0101057339) | |
| Enumeration Date | 2006-01-25 |
| Last Update Date | 2019-07-26 |