| NPI | 1407170954 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: FL ME126729) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME126729) |
| Enumeration Date | 2010-03-25 |
| Last Update Date | 2019-05-02 |