| NPI | 1023053097 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: FL ME48949) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME0048949) |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: FL ME0048949) | |
| Enumeration Date | 2006-06-16 |
| Last Update Date | 2010-10-19 |