| NPI | 1548455686 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: FL ME98811) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME98811) |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: FL ME988811) | |
| Enumeration Date | 2007-09-12 |
| Last Update Date | 2023-11-27 |