| NPI | 1841225885 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA 20A7419) |
| Additional Taxonomies | 207RI0200X Internal Medicine Infectious Disease (Licence: CA 20A7149) |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2021-04-26 |