| NPI | 1578696373 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: FL ME97858) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35.089002) |
| 207R00000X Internal Medicine (Licence: FL ME97858) | |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2023-05-08 |