| NPI | 1881670016 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: NC 2012-00301) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA G67644) |
| Enumeration Date | 2005-12-20 |
| Last Update Date | 2024-03-05 |