| NPI | 1740385426 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: OR MD29015) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA G53950) |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: CA G53950) | |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2013-04-12 |