| NPI | 1881614048 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: GA MD039763E) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: CA G83265) |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2011-10-31 |