| NPI | 1720317746 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: CO 42024) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: LA 020008) |
| Enumeration Date | 2009-12-22 |
| Last Update Date | 2020-04-03 |