| NPI | 1316995129 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: FL ME116589) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: PA MD436450) |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: NE 22402) | |
| Enumeration Date | 2006-05-04 |
| Last Update Date | 2022-07-21 |