| NPI | 1093195893 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: FL ME135305) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL TRN22027) |
| Enumeration Date | 2015-06-05 |
| Last Update Date | 2020-09-02 |