| NPI | 1851498729 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: CA C131483) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NV 9640) |
| 207R00000X Internal Medicine (Licence: CA C131483) | |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: NV 9640) | |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2023-03-15 |