| NPI | 1750300364 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: CA G043505) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA G43505) |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2017-05-23 |