| NPI | 1891755815 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: WA MD 60191142) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: NM 85-87) |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: CA G85517) | |
| Enumeration Date | 2006-03-24 |
| Last Update Date | 2010-12-15 |