| NPI | 1093799751 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: FL ME30891) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: FL ME30891) |
| Enumeration Date | 2005-12-05 |
| Last Update Date | 2022-07-21 |