| NPI | 1750492625 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: CO DR004035) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: CA G69986) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2026-01-13 |