| NPI | 1114948361 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: NH 8323) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: VT 042-0009063) |
| Enumeration Date | 2006-07-22 |
| Last Update Date | 2011-08-21 |