| NPI | 1861653198 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: MA 274867) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: DC 133290) |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: CA C121264) | |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: NY 278420) | |
| Enumeration Date | 2008-06-19 |
| Last Update Date | 2018-12-10 |