| NPI | 1851503718 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: CA A85342) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A85342) |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2013-08-27 |