| NPI | 1285600825 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: FL ME92334) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: PA MD060927L) |
| Enumeration Date | 2006-02-24 |
| Last Update Date | 2025-01-14 |