| NPI | 1386917789 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: FL ME130802) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: IA 40042) |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: AZ 51641) | |
| Enumeration Date | 2012-02-15 |
| Last Update Date | 2021-03-25 |