| NPI | 1316095565 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: FL ME138743) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: IL 36112645) |
| Enumeration Date | 2007-01-06 |
| Last Update Date | 2019-08-13 |