| NPI | 1215909890 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: MN 38103) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: WI 61182) |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: FL ME141070) | |
| Enumeration Date | 2006-02-07 |
| Last Update Date | 2020-08-12 |