| NPI | 1396794186 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: FL ME84940) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME84940) |
| 207R00000X Internal Medicine (Licence: FL ME0084940) | |
| Enumeration Date | 2006-05-09 |
| Last Update Date | 2024-12-05 |