| NPI | 1841454311 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: CA A126647) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA mt193396) |
| 207R00000X Internal Medicine (Licence: CA A126647) | |
| Enumeration Date | 2008-07-15 |
| Last Update Date | 2014-09-19 |