| NPI | 1104189653 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine Infectious Disease (Licence: MA 272707) |
| Additional Taxonomies | 207RI0200X Internal Medicine Infectious Disease (Licence: RI MD16003) |
| Enumeration Date | 2012-06-20 |
| Last Update Date | 2018-03-17 |