| NPI | 1205368701 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: FL ME143670) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME143670) |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: AZ 72796) | |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: WI 84410-20) | |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: MN 3008) | |
| Enumeration Date | 2017-04-03 |
| Last Update Date | 2025-03-17 |