| NPI | 1205917077 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: FL ME100291) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: MD D29678) |
| 207R00000X Internal Medicine (Licence: FL ME100291) | |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2011-12-20 |