| NPI | 1225607757 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: FL ME167096) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT224217) |
| Enumeration Date | 2021-06-19 |
| Last Update Date | 2024-10-21 |