| NPI | 1316928468 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: FL ME171230) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: NY 213755-1) |
| Enumeration Date | 2005-11-07 |
| Last Update Date | 2025-02-05 |