| NPI | 1336183623 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: MA 269898) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 232892) |
| 207R00000X Internal Medicine (Licence: ME MD20478) | |
| Enumeration Date | 2006-06-16 |
| Last Update Date | 2023-04-24 |