| NPI | 1790866200 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: CA C143045) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CT 042792) |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: IA 37567) | |
| 207R00000X Internal Medicine (Licence: IA 37567) | |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2016-10-19 |