| NPI | 1932337193 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: CA C173871) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: MA 254456) |
| Enumeration Date | 2009-06-26 |
| Last Update Date | 2021-08-06 |