| NPI | 1235140419 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: FL ME106156) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: MS 19287) |
| Enumeration Date | 2006-08-11 |
| Last Update Date | 2020-08-18 |