| NPI | 1740370428 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: CA C138127) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: CO 19010) |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2016-02-29 |