| NPI | 1750558615 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: CA 128301) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA 60131005) |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: WA 60131005) | |
| Enumeration Date | 2008-05-09 |
| Last Update Date | 2020-04-22 |