| NPI | 1447699145 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: FL ME153360) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: LA 310297) |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: TX U0544) | |
| Enumeration Date | 2013-06-17 |
| Last Update Date | 2024-04-10 |