| NPI | 1356786552 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: CO DR.0071098) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 127533) |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: FL ME144627) | |
| Enumeration Date | 2013-05-02 |
| Last Update Date | 2023-07-05 |